Individual
DR. CHRISTOPHER S MANASSEH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11 MELNEA CASS BLVD, BOSTON, MA 02119-4401
(617) 414-2080
(617) 414-2090
Mailing address
960 MASSACHUSETTS AVENUE, FL 2, BOSTON, MA 02118-2690
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
211668
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110004334A
—
MA
01
—
3114928
NH STATE MEDICAID
NH
Enumeration date
02/15/2006
Last updated
06/01/2023
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